Vallejo Medical Center
975 SERENO DRIVE, VALLEJO, CA · Kaiserpermanente · · NPI 1366513509
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $84.56 | $151.00 | $27.00 – $27.00 | 1 |
| 17-hydroxypregnenolone CPT 84143 | $64.40 | $115.00 | $21.00 – $21.00 | 1 |
| 17-ketosteroids CPT 83586 | $156.24 | $279.00 | $11.00 – $11.00 | 1 |
| 1pc ost pch drain hgh output HCPCS A4435 | $8.40 | $15.00 | not published | 0 |
| 1 pc ost pouch w filter HCPCS A5056 | $6.72 | $12.00 | not published | 0 |
| 1 pc ost pou w built-in conv HCPCS A5057 | $14.00 | $25.00 | not published | 0 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $442.40 | $790.00 | not published | 0 |
| 1st/sbsq psyc collab care CPT 99494 | $111.44 | $199.00 | not published | 0 |
| 2019-ncov diagnostic p HCPCS U0001 | $92.96 | $166.00 | $34.00 – $34.00 | 1 |
| 24 hr ambulatory b/p monitor CPT 93786 | $728.00 | $1,300.00 | not published | 0 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $3,046.40 | $5,440.00 | not published | 0 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $2,122.40 | $3,790.00 | not published | 0 |
| 2nd order venous cath CPT 36012 | $4,748.80 | $8,480.00 | not published | 0 |
| 2vhpv vaccine 3 dose im CPT 90650 | $76.72 | $137.00 | not published | 0 |
| 3d anat seg imaging preop HCPCS C8001 | $192.08 | $343.00 | not published | 0 |
| 3d ech img cgen car anomal CPT 93319 | $55.44 | $99.00 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $7,767.20 | $13,870.00 | $1,825.00 – $1,825.00 | 1 |
| 3d recon without postprocess indpndt CPT 76376 | $1,148.00 | $2,050.00 | not published | 0 |
| 4-bar link above knee w/swng HCPCS L5614 | $1,864.80 | $3,330.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $30.24 | $54.00 | $10.00 – $10.00 | 1 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $102.48 | $183.00 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $2,710.96 | $4,841.00 | $45.00 – $45.00 | 1 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $33.60 | $60.00 | $11.00 – $11.00 | 1 |
| Abciximab injection HCPCS J0130 | not published | not published | $729.00 – $729.00 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | $8,853.60 | $15,810.00 | $4,200.00 – $4,200.00 | 1 |
| Abd/low ext cath 1st CPT 36245 | $5,292.00 | $9,450.00 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $3,556.00 | $6,350.00 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $4,743.20 | $8,470.00 | not published | 0 |
| Abd/low ext cath addl CPT 36248 | $2,704.80 | $4,830.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,833.60 | $5,060.00 | $393.00 – $393.00 | 1 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,520.00 | $4,500.00 | $374.00 – $374.00 | 1 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,206.40 | $3,940.00 | $177.00 – $177.00 | 1 |
| Abdominal MRI (with and without contrast) CPT 74183 | $5,969.60 | $10,660.00 | $513.00 – $513.00 | 1 |
| Abdominal MRI (with contrast) CPT 74182 | $4,390.40 | $7,840.00 | $484.00 – $484.00 | 1 |
| Abdominal MRI (without contrast) CPT 74181 | $3,449.60 | $6,160.00 | $323.00 – $323.00 | 1 |
| Abdominal pad HCPCS L1270 | $109.20 | $195.00 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,559.20 | $4,570.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $991.20 | $1,770.00 | $142.00 – $142.00 | 1 |
| Abdominal Ultrasound (limited) CPT 76705 | $828.80 | $1,480.00 | $142.00 – $142.00 | 1 |
| Abdominoplasty 15830 CPT 15830 | $8,803.20 | $15,720.00 | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $2,665.60 | $4,760.00 | not published | 0 |
| Abduct control hip semi-flex HCPCS L1630 | $196.00 | $350.00 | not published | 0 |
| Abduction bar jointed adjust HCPCS L2300 | $380.80 | $680.00 | not published | 0 |
| Abduction bar-straight HCPCS L2310 | $173.60 | $310.00 | not published | 0 |
| Abduction rotation bar shoe HCPCS L3140 | $100.80 | $180.00 | not published | 0 |
| Abduct rotation bar without shoe HCPCS L3150 | $92.40 | $165.00 | not published | 0 |
| Abl1 gene CPT 81170 | $683.20 | $1,220.00 | $131.00 – $131.00 | 1 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | $397.60 | $710.00 | not published | 0 |
| Ablate arrhythmia add on CPT 93655 | $4,799.20 | $8,570.00 | not published | 0 |
| Ablate atria lmtd endo 33265 CPT 33265 | $2,738.40 | $4,890.00 | not published | 0 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $20,014.40 | $35,740.00 | not published | 0 |
| Ablate bone tumor(s) perq CPT 20982 | $11,401.60 | $20,360.00 | not published | 0 |
| Ablate heart dysrhythm focus CPT 93650 | $13,484.80 | $24,080.00 | not published | 0 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $4,888.80 | $8,730.00 | not published | 0 |
| Ablate inf turbinate superf 30801 CPT 30801 | $5,633.60 | $10,060.00 | not published | 0 |
| Ablate pulm tumor perq crybl CPT 32994 | $13,176.80 | $23,530.00 | not published | 0 |
| Ablate pulm tumor perq rf CPT 32998 | $16,402.40 | $29,290.00 | not published | 0 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $554.40 | $990.00 | not published | 0 |
| Ablation cryo abd perit om CPT 49999 | $2,312.80 | $4,130.00 | not published | 0 |
| Ablation cryo adrenal tumor CPT 60699 | $29,764.00 | $53,150.00 | not published | 0 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $593.60 | $1,060.00 | not published | 0 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $20,748.00 | $37,050.00 | not published | 0 |
| Ablation cryo retro lymph node CPT 38999 | $1,080.80 | $1,930.00 | not published | 0 |
| Ablation cryo thigh/knee CPT 27599 | $12,986.40 | $23,190.00 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $4,838.40 | $8,640.00 | not published | 0 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $2,884.00 | $5,150.00 | not published | 0 |
| Abltj mal prst8 tiss hifu CPT 55880 | $12,818.40 | $22,890.00 | not published | 0 |
| Ablt trurl prst8 tis thrm Ultrasound CPT 55881 | $397.60 | $710.00 | not published | 0 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | $23,139.20 | $41,320.00 | not published | 0 |
| Abobotulinumtoxina HCPCS J0586 | $1,541.21 | $2,752.16 | $8.93 – $8.93 | 1 |
| Abortion (mpr) CPT 59866 | $1,624.00 | $2,900.00 | not published | 0 |
| Above elbow prosth tiss shap HCPCS L6500 | $3,855.60 | $6,885.00 | not published | 0 |
| Above knee cushion socket HCPCS L5648 | $742.00 | $1,325.00 | not published | 0 |
| Above knee flex cover system HCPCS L5964 | $1,268.40 | $2,265.00 | not published | 0 |
| Above knee hydracadence HCPCS L5610 | $2,755.20 | $4,920.00 | not published | 0 |
| Above knee leather socket HCPCS L5642 | $697.20 | $1,245.00 | not published | 0 |
| Above knee manual lock HCPCS L5925 | $492.80 | $880.00 | not published | 0 |
| Above knee wood socket HCPCS L5644 | $666.40 | $1,190.00 | not published | 0 |
| Abrasion lesions add-on CPT 15787 | $392.00 | $700.00 | not published | 0 |
| Abrasion lesion single CPT 15786 | $380.80 | $680.00 | not published | 0 |
| Abscess drain retroperitoneal surg code CPT 49406 | $5,023.20 | $8,970.00 | not published | 0 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | $74.26 | $132.60 | not published | 0 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | $1.68 | $3.00 | not published | 0 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | $19.40 | $34.64 | not published | 0 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $828.80 | $1,480.00 | not published | 0 |
| Access thoracic lymph duct CPT 38794 | $828.80 | $1,480.00 | not published | 0 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $87.30 | $155.90 | $0.05 – $0.05 | 1 |
| Acetaminophen level CPT 80143 | $63.84 | $114.00 | $18.00 – $18.00 | 1 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $657.27 | $1,173.70 | $17.00 – $17.00 | 1 |
| Acetone qualitative CPT 82009 | $81.76 | $146.00 | $5.00 – $5.00 | 1 |
| Acetylcholine receptor modulating antibody CPT 86043 | $22.96 | $41.00 | $11.00 – $11.00 | 1 |
| Acetylcholinesterase assay CPT 82013 | $33.60 | $60.00 | $11.00 – $11.00 | 1 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $62.03 | $110.77 | $0.37 – $0.37 | 1 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $8.93 – $8.93 | 1 |
| Acid perfusion of esophagus CPT 91030 | $1,881.60 | $3,360.00 | not published | 0 |
| Acne surgery 10040 CPT 10040 | $341.60 | $610.00 | not published | 0 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $420.00 | $750.00 | not published | 0 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $206.08 | $368.00 | not published | 0 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $77.28 | $138.00 | not published | 0 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $208.88 | $373.00 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.